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Individual
LUCAS A KUNZE
Active
Individual
LUCAS A KUNZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10301024
WI
225100000X
Physical Therapist
Primary
5501018634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0604410001
DMERC
WI
05
—
40447500
—
WI
01
—
K22207
MEDICARE NUMBER
IL
01
—
P00214353
RAILROAD MEDICARE NUMBER
WI
Enumeration date
08/26/2006
Last updated
04/25/2023
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